Forms Shared Across the Program
LPAT - 1st, 2nd, 3rd semesters
1st Semester Forms
- Accountability Observation Rubric
- AM Report
- Basis for Making Decisions
- Caring Model
- Concept Map
- Conflict Resolution on the Clinical Unit
- Course Outcome No. 4 Competency
- Course Student Learning Outcome No. 2 Competency
- Identifying Delegation Responsibilities
- Implementing the Individual Plan of Care
- Mid-term & Final Clinical Evaluation Tool - Scoring Sheet
- Moral Ethical Legal & Professional Standards Observation Rubric
- National Patient Safety Goal Activity
- Nursing Leadership & Safe Quality Patient Care
- Organizational & Patient Confidentiality Observation Rubric
- Parameters for Patient Care
- Patient Care . Nursing Process Critical Thinking Activity
- Patient Interaction Sheet
- Patient Preference Tool
- Patient Teaching Too (Fundamentals)
- Post-Conference Report
- Predict & Manage Potential Complications
- Psychomotor Skills Reflection Sheet
- Quality Measures
- SBAR Patient Report
- Scavenger Hunt - MMC
- Signs & Symptoms Critical Thinking Tool
- Target Assessment
- Teamwork Impacting Safety & Quality Improvement Measures
- Technology is More than Charting
- Medication Sheet
- Signs & Symptoms
- KATZ/Mini Mental
- Weekly Progress Report
- Clinical Orientation
- Medical Diagnosis Sheet
- Patient Care Critical Thinking Activity
2nd Semester Forms
- Compare & Contrast Patient Care Plans
- Concept Map, Patho of a Disease Process & Planning Table - Competencies 1 abc
- Concept Map, Patho of a Disease Process & Planning Table
- Constructive Criticism Tool
- Create a Caring Outcome Grid
- Delegation Tool
- Horizontal Hostility
- Impact of Team Members on Safety & Quality Improvement - Maternal-Newborn
- Interprofessional Communication Interaction Sheet
- Making Decisions
- Med Surg Patient Patho of a Disease Process & Planning Table
- Med-Term & Final Clinical Evaluation Tool - Scoring Sheet
- Monitoring Outcomes of Care Related to Pain Control
- National Patient Safety Goal Activity
- Nursing Leadership & SafeQuality Patient Care
- Nursing Sensitive Quality Indicators
- Observation Rubric
- Organizational & Patient Confidentiality Observation Rubric
- Parameters for Patient Care
- Patient Interaction Sheet
- Patient Teaching Tool
- Psychomotor Skills Reflection Sheet
- Role of the Student Nurse
- SBAR Patient Report
- Surgery Questions Critical Thinking Activity
- Through the Eyes of Your Patient - Clinical Microsystem Activity
- Technology is More than Charting
- Tool Accountability Observation Rubric
- Patient Care Plan 1
- Pediatric Growth & Development
3rd Semester Forms
Course Description, SLO's, Competencies, Clinical Eval Tools & Clinical Activities Portfolio
Valley Children's Hospital Orientation Guide
Link to Clinical Student Programs